| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.32 | $645.17 | $1,168.80 | |
Aetna
| Professional | $127.54 | $127.55 | $157.65 | |
BCBS
| Facility | $134.33 | $150.13 | $158.04 | |
BCBS
| Professional | $143.32 | $143.32 | $143.32 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
Medica
| Facility | $80.20 | $132.81 | $156.88 | |
Medica
| Professional | $128.22 | $134.99 | $144.07 | |
United
| Professional | $120.06 | $134.99 | $144.07 |